Kelkel here are the labs you asked for

**Faster** · 04-23-2013, 03:18 PM

Test name Result units Ref. range Site Code
ESTRADIOL, ULTRASENSITIVE 10 pg/mL Ref: Less than OR = 29
[72024]
Comment:
Test Performed at:
Quest Diagnostics Nichols Institute
33608 Ortega Highway
San Juan Capistrano, CA 92675-2042 J M Nakamoto MD, PhD
================================================== =============================

Test name Result units Ref. range Site Code
SEX HORMONE BINDING GLOBULIN 25 nmol/L 10 - 50 [72024]
Comment: SHBG

Tanner Stages Male (nmol/L) Female (nmol/L)
(7-17 Years)
Tanner I 47-166 47-166
Tanner II 23-168 25-129
Tanner III 23-168 25-129
Tanner IV 21-79 30-86
Tanner V 9-49 15-130
Test Performed at:
Quest Diagnostics Valencia
Nichols Institute, 27027 Tourney Road
Valencia, CA 91355-5386 P Peterson MD
================================================== =============================

Specimen: SERUM. NIC 0412 127
Specimen Collection Date: 04/12/2013 12:37
Test name Result units Ref. range Site Code
IGF-1 235 ng/mL 53 - 331 [72024]
DHEA SULFATE, SERUM 244 mcg/dL 110 - 370 [72024]
Comment:
Test Performed at:
Quest Diagnostics Nichols Institute
33608 Ortega Highway
San Juan Capistrano, CA 92675-2042 J M Nakamoto MD, PhD
Z-Score (Male)
This test was developed and its performance characteristics
have been determined by Quest Diagnostics Nichols Institute,
San Juan Capistrano. Performance characteristics refer to
the analytical performance of the test.
================================================== =============================

Specimen: SERUM. CRCH 0412 1126
Specimen Collection Date: 04/12/2013 12:37
Test name Result units Ref. range Site Code
VIT D2 (25-OH) <2 ng/mL Ref: see total [664]
VIT D3 (25-OH) 27 ng/mL Ref: see total [664]
VIT D Total (25-OH) 27 L ng/mL 35 - 80 [664]
Eval: Methodology: LC/MS/MS on ABI 4000 triple quadrupole mass
Eval: spectometry.
Eval: Optimal concentrations for 25-OH Vit D have not been determined.
Eval: General consensus is that the total 25-OH Vit D3 (sum of 25-OH
Eval: Vit D3 and 25-OH Vit D2) should be greater than 35 ng/mL. Patients
Eval: with total Vitamin D less than 35 ng/mL should be considered for
Eval: supplementation. Please direct questions to 858-552-8585 x7758.
================================================== =============================

Specimen: SERUM. CRCH 0412 1125
Specimen Collection Date: 04/12/2013 12:37
Test name Result units Ref. range Site Code
TESTOSTERONE , TOTAL 379 ng/dL 185 - 650 [664]
Eval: TOTAL TESTOSTERONE REF RANGE (MALE) : 185 - 650 ng/dL (LC/MS/MS)
Eval: TOTAL TESTOSTERONE REF RANGE (FEMALE) : 10 - 70 ng/dL (LC/MS/MS)
================================================== =============================

Specimen: SERUM. CH 0412 600
Specimen Collection Date: 04/12/2013 12:37
Test name Result units Ref. range Site Code
PSA 0.544 ng/mL 0.0 - 4.0 [664]
Eval: Abnormal Lab Result Alerts are generated for
Eval: patients who have a PSA result >0.03 and a concurrent
Eval: ICD Diagnosis of:
Eval: 1) MALIGN NEOPL PROSTATE
Eval: 2) HX-PROSTATIC MALIGNANCY
Eval: 3) DYSPLASIA OF PROSTATE
Eval: 4) CA IN SITU PROSTATE
Eval: 5) UNC BEHAV NEO PROSTATE
CHOLESTEROL 139 L mg/dL 140 - 240 [664]
Eval: Desirable Cholesterol <200
Eval: Borderline High 200-239
Eval: High >240
CALCULATED LDL 92 mg/dl 3 - 130 [664]
HDL 32 mg/dL Ref: >36 [664]
TRIGLYCERIDE 75 mg/dL 30 - 200 [664]
Eval: Desirable Triglyceride is <150 mg/dL.
TSH HS 1.23 mIU/mL 0.49 - 4.67 [664]
CORTISOL RANDOM 12.49 H ug/dL 3 - 12 [664]
FSH 3.24 mIU/mL [664]
Eval: FSH ref range male: 1 - 8 mIU/mL
Eval: FSH ref range female (follicular): 4 - 13 mIU/mL
Eval: FSH ref range female (mid cycle peak): 5 - 22 mIU/mL
Eval: FSH ref range female (luteal phase): 2 - 13 mIU/mL
Eval: FSH ref range female (post menopausal):20 -138 mIU/mL
LH 8.71 mIU/mL [664]
Eval: LH ref range male: 2-12 mIU/mL
Eval: LH ref range female (follicular): 1-18 mIU/mL
Eval: LH ref range female (mid-cycle peak): 24-105 mIU/mL
Eval: LH ref range female (luteal): 0.4-20 mIU/mL
Eval: LH ref range female (post menopausal): 15-62 mIU/mL
Comment: If Triglycerides >400, please measure direct LDL.
Specimen Draw Time @ @1237
================================================== =============================

Report Released Date/Time: Feb 13, 2013@18:07
Provider: KO,ALBERT
Specimen: URINE. UA 0213 182
Specimen Collection Date: 02/13/2013 17:19
Test name Result units Ref. range Site Code
APPEARANCE CLEAR [664]
URINE COLOR YELLOW [664]
SPECIFIC GRAVITY 1.014 1.003 - 1.035 [664]
LEUKOCYTE ESTERASE, URINE NEGATIVE Ref: NEG [664]
NITRITE, URINE NEGATIVE Ref: NEG [664]
URINE PH 7.0 4.5 - 8.5 [664]
URINE BLOOD NEGATIVE Ref: NEG [664]
UR PROTEIN NEGATIVE Ref: NEG [664]
URINE GLUCOSE NEGATIVE Ref: NEG [664]
URINE KETONES NEGATIVE Ref: NEG [664]
UROBILINOGEN,URINE 0.2 Ref: <=1.0 [664]
URINE BILIRUBIN NEGATIVE Ref: NEG [664]
=================================================

**kelkel** · 04-23-2013, 06:12 PM

Originally Posted by Faster

Test name Result units Ref. range Site Code
ESTRADIOL, ULTRASENSITIVE 10 pg/mL Ref: Less than OR = 29 Low. It will rise when T rises. Love how Quest doesn't give a "bottom" number. Less than or = to BS!
[72024]
Comment:
Test Performed at:
Quest Diagnostics Nichols Institute
33608 Ortega Highway
San Juan Capistrano, CA 92675-2042 J M Nakamoto MD, PhD
================================================== =============================

Test name Result units Ref. range Site Code
SEX HORMONE BINDING GLOBULIN 25 nmol/L 10 - 50 Mid-range. Nice [72024]
Comment: SHBG

Tanner Stages Male (nmol/L) Female (nmol/L)
(7-17 Years)
Tanner I 47-166 47-166
Tanner II 23-168 25-129
Tanner III 23-168 25-129
Tanner IV 21-79 30-86
Tanner V 9-49 15-130
Test Performed at:
Quest Diagnostics Valencia
Nichols Institute, 27027 Tourney Road
Valencia, CA 91355-5386 P Peterson MD
================================================== =============================

Specimen: SERUM. NIC 0412 127
Specimen Collection Date: 04/12/2013 12:37
Test name Result units Ref. range Site Code
IGF-1 235 ng/mL 53 - 331 Like to see this higher. Last thing to worry about now. Lets see where it ends up [72024]
DHEA SULFATE, SERUM 244 mcg/dL 110 - 370 Mid-range. I'd like higher [72024]
Comment:
Test Performed at:
Quest Diagnostics Nichols Institute
33608 Ortega Highway
San Juan Capistrano, CA 92675-2042 J M Nakamoto MD, PhD
Z-Score (Male)
This test was developed and its performance characteristics
have been determined by Quest Diagnostics Nichols Institute,
San Juan Capistrano. Performance characteristics refer to
the analytical performance of the test.
================================================== =============================

Specimen: SERUM. CRCH 0412 1126
Specimen Collection Date: 04/12/2013 12:37
Test name Result units Ref. range Site Code
VIT D2 (25-OH) <2 ng/mL Ref: see total [664]
VIT D3 (25-OH) 27 ng/mL Ref: see total [664]Supplement if you're not. I'd start at 5K IU's per day
VIT D Total (25-OH) 27 L ng/mL 35 - 80 [664]
Eval: Methodology: LC/MS/MS on ABI 4000 triple quadrupole mass
Eval: spectometry.
Eval: Optimal concentrations for 25-OH Vit D have not been determined.
Eval: General consensus is that the total 25-OH Vit D3 (sum of 25-OH
Eval: Vit D3 and 25-OH Vit D2) should be greater than 35 ng/mL. Patients
Eval: with total Vitamin D less than 35 ng/mL should be considered for
Eval: supplementation. Please direct questions to 858-552-8585 x7758.
================================================== =============================

Specimen: SERUM. CRCH 0412 1125
Specimen Collection Date: 04/12/2013 12:37
Test name Result units Ref. range Site Code
TESTOSTERONE , TOTAL 379 ng/dL 185 - 650 Low for your age. Don't like this scale. Other Quest tests I've seen use a scale of 250-1100 or so [664]
Eval: TOTAL TESTOSTERONE REF RANGE (MALE) : 185 - 650 ng/dL (LC/MS/MS)
Eval: TOTAL TESTOSTERONE REF RANGE (FEMALE) : 10 - 70 ng/dL (LC/MS/MS)
================================================== =============================

Specimen: SERUM. CH 0412 600
Specimen Collection Date: 04/12/2013 12:37
Test name Result units Ref. range Site Code
PSA 0.544 ng/mL 0.0 - 4.0 Awesome [664]
Eval: Abnormal Lab Result Alerts are generated for
Eval: patients who have a PSA result >0.03 and a concurrent
Eval: ICD Diagnosis of:
Eval: 1) MALIGN NEOPL PROSTATE
Eval: 2) HX-PROSTATIC MALIGNANCY
Eval: 3) DYSPLASIA OF PROSTATE
Eval: 4) CA IN SITU PROSTATE
Eval: 5) UNC BEHAV NEO PROSTATE
CHOLESTEROL 139 L mg/dL 140 - 240 [664]
Eval: Desirable Cholesterol <200
Eval: Borderline High 200-239
Eval: High >240
CALCULATED LDL 92 mg/dl 3 - 130 [664]
HDL 32 mg/dL Ref: >36 [664]
TRIGLYCERIDE 75 mg/dL 30 - 200 [664]
Eval: Desirable Triglyceride is <150 mg/dL.
TSH HS 1.23 mIU/mL 0.49 - 4.67 [664]
CORTISOL RANDOM 12.49 H ug/dL 3 - 12 Do you have any clue why this is elevated? Stressed out, lack of sleep. Elevated Cortisol Symptoms | LIVESTRONG.COM [664]
FSH 3.24 mIU/mL Tad low [664]
Eval: FSH ref range male: 1 - 8 mIU/mL
Eval: FSH ref range female (follicular): 4 - 13 mIU/mL
Eval: FSH ref range female (mid cycle peak): 5 - 22 mIU/mL
Eval: FSH ref range female (luteal phase): 2 - 13 mIU/mL
Eval: FSH ref range female (post menopausal):20 -138 mIU/mL
LH 8.71 mIU/mL Good [664]
Eval: LH ref range male: 2-12 mIU/mL
Eval: LH ref range female (follicular): 1-18 mIU/mL
Eval: LH ref range female (mid-cycle peak): 24-105 mIU/mL
Eval: LH ref range female (luteal): 0.4-20 mIU/mL
Eval: LH ref range female (post menopausal): 15-62 mIU/mL
Comment: If Triglycerides >400, please measure direct LDL.
Specimen Draw Time @ @1237
================================================== =============================

Report Released Date/Time: Feb 13, 2013@18:07
Provider: KO,ALBERT
Specimen: URINE. UA 0213 182
Specimen Collection Date: 02/13/2013 17:19
Test name Result units Ref. range Site Code
APPEARANCE CLEAR [664]
URINE COLOR YELLOW [664]
SPECIFIC GRAVITY 1.014 1.003 - 1.035 [664]
LEUKOCYTE ESTERASE, URINE NEGATIVE Ref: NEG [664]
NITRITE, URINE NEGATIVE Ref: NEG [664]
URINE PH 7.0 4.5 - 8.5 [664]
URINE BLOOD NEGATIVE Ref: NEG [664]
UR PROTEIN NEGATIVE Ref: NEG [664]
URINE GLUCOSE NEGATIVE Ref: NEG [664]
URINE KETONES NEGATIVE Ref: NEG [664]
UROBILINOGEN,URINE 0.2 Ref: <=1.0 [664]
URINE BILIRUBIN NEGATIVE Ref: NEG [664]
=================================================

In bold above.

What did you doctor say about your cortisol level and what are his/your plans? With such a high LH level and lower than mid-range T level (on that scale) It makes me curious exactly how much of an effect the cortisol is having on suppressing your T levels. I'm also curious whether you've had any testicular injuries or have been checked for varicoceles?

**Faster** · 04-23-2013, 07:18 PM

Originally Posted by kelkel

In bold above.

What did you doctor say about your cortisol level and what are his/your plans? With such a high LH level and lower than mid-range T level (on that scale) It makes me curious exactly how much of an effect the cortisol is having on suppressing your T levels. I'm also curious whether you've had any testicular injuries or have been checked for varicoceles?

I had varicoceles removed when I was younger. Before I did this last cycle I was in 600ng range. Cortisol is always elevated after you come off a cycle so I am sure this is why its so high.

How can we bring my cortisol down and my Test up without going back on cycle? My doctor didn't say anything about the cortisol either, he just ordered the tests and emailed me the results. I run GH/T4 almost year round. Will increasing the iu's bring down cortisol. I know its high cause ive got a belly right now and Im eating pretty clean and in the gym 7 days a week.

**kelkel** · 04-23-2013, 07:46 PM

Vitamin C is the obvious choice. There are also studies out there about BCAA's helping as well. Too high cortisol levels for too long can lead to adrenal fatigue as well. To the best of my knowledge HGH normally reduces cortisol levels. A thought might be to try the natural supps first for a while, check progress and if none then possibly take a break from the HGH

**Faster** · 04-23-2013, 08:06 PM

Originally Posted by kelkel

Vitamin C is the obvious choice. There are also studies out there about BCAA's helping as well. Too high cortisol levels for too long can lead to adrenal fatigue as well. To the best of my knowledge HGH normally reduces cortisol levels. A thought might be to try the natural supps first for a while, check progress and if none then possibly take a break from the HGH

Ok so by Adding VC in will hopefully lower my cortisol and raise my test if its being suppressed. How much do you recommend I take daily?

**kelkel** · 04-23-2013, 08:12 PM

Read this: Vitamin C - In-Depth Scientific Supplement Information | Examine.com

There's also a herb or two out there that helps. Google that and see what pops up as well.

**Faster** · 04-23-2013, 08:18 PM

Got it "1g of Vitamin C taken prior to exercise is associated with unreliable reductions in the cortisol spike seen during exercise"

Thanks for making me do some research now I know more then I did before!

**steroid.com 1** · 04-23-2013, 09:50 PM

Was the cortisol lab a blood test or saliva test?

High cortisol can also increase progesterone levels as well and lowers DHEA serum levels as a result (you'r DHEA-S mid range is okay but like kel noted, it's better at the top of the reference range. Read the sticky on HCG there's a nice section in there on DHEA).

High progesterone levels can have feminizing effects on men so keep an eye out if you start having a desire to wear a skirt LOL!

**Faster** · 04-23-2013, 10:51 PM

Originally Posted by gdevine

Was the cortisol lab a blood test or saliva test?

High cortisol can also increase progesterone levels as well and lowers DHEA serum levels as a result (you'r DHEA-S mid range is okay but like kel noted, it's better at the top of the reference range. Read the sticky on HCG there's a nice section in there on DHEA).

High progesterone levels can have feminizing effects on men so keep an eye out if you start having a desire to wear a skirt LOL!

Cortisol was a blood test, my estrodial was low but so was my test. I am going to go into agressive PCT.

**Faster** · 04-25-2013, 09:54 PM

So been doing more research on cortisol..here are two normal ranges: morning and night, as both have significant differences (Cortisol is highest in the morning and lowest later in the day). Normal range of Cortisol should be between 5 - 25 ng/dl for mornings. Normal range of Cortisol should be between 3 - 13 ng/dl for afternoon/night. Mine was is 12.49...taken at 1-pm it's actually right in the middle of the normal range, and still within normal range for both.

If you got it taken at night, it is on the high end of normal but its still within normal range. I don't see anything wrong to be honest. Also, Cortisol is not the big bad evil muscle destroying hormone it is made out to be, it is actually very important for many things including muscle building. Excessively high Cortisol or chronically elevated Cortisol is when it becomes a problem.

So my next thing to test is prolactin. I am getting that tested tomorrow morning and will let you know what the results are.